Provider Demographics
NPI:1225709264
Name:BARNES, ANTHONY CLAY (DPT)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:CLAY
Last Name:BARNES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2408 BATHGATE AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-5908
Mailing Address - Country:US
Mailing Address - Phone:631-813-3665
Mailing Address - Fax:
Practice Address - Street 1:150 CLEARBROOK RD STE 188A
Practice Address - Street 2:
Practice Address - City:ELMSFORD
Practice Address - State:NY
Practice Address - Zip Code:10523-1128
Practice Address - Country:US
Practice Address - Phone:914-909-3772
Practice Address - Fax:914-909-3773
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY046572-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist